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HomeMy WebLinkAboutBuilding Permit Application 1 ' ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: • Building Permit Application Planning and Development Services Building and Code Regulation Division 2.300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line ; fSUPPLEM.E�f -Xi CUN5TRUGTlC}N !lEN LAW 1NFC}RMATIQN „ DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated. -I certify that no work or installation has commenced prior to the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association.rules,bylaws or and covenants that may restrict or prohibit such _structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work _ in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite before the first inspection. if you intend to obtain financing, consult with lender or an attorney before 'commencing work or recording our Notice of Commencement. Signature of Owner/Lessee/Contractor as Agent for Owner S" ure of contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF `V�>`etti-�-S COUNTY OF APdAA The forgoing instrument was acknowledged before me The f r ping instru ent was acknowledged before me this 1(.day of ,Jour.�.bJV� 20k Z by this day of N P&i11► 'CV 2019 by 1po.—1 Jrk t`1 Wit ice' a Name of perso making statement Name of perso making statement Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification - - -Produced— -- - -- — __._ __.Produced_ TIFFANY ARRINGTON � r ��', 1 ± ; I ', .� (Signature of Not ry Public-State of Florid )-12 :• EXPIRE AjWtK&AJblot)ry Public-State of Florida) Commission No..GGcA (Sea _ Ft")g4g0- '' �KtINBERtYtBtWJOF2"" STAGE oriimtsstori o. I "• �'= MY GOMMISSIO EXPIRES June018 1{1 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17 JI a Fwd:Fort Pierce Utilities Authority Invoice#INV201810178411542 Payment Confirmation Ais Pawel<thepropertycouple11 @gmail.com> To: Du-All Sewer&Drain Service<duallsewer@aol.com> Subject: Fwd: Fort Pierce Utilities Authority Invoice#INV201810178411542 Payment Confirmation Date:Wed, Dec 5,2018 12:18 pm Hi, Here is a copy of the payment receipt for the city water meter. Ania ----------Forwarded message --------- From: Fort Pierce Utilities Authority<no-reply-@invoicecloud.net> Date: Wed, Oct 17, 2018 at 9:50 AM Subject: FortPierce Utilities Authority Invoice#INV201810178411542 Payment Confirmation To: <kimwhiterealestate@gmail.com> I 191 FORT PIERCE UTILITIES.AUTHORITY Dear KIMBERLEY A WHITE Payment Confirmation 4nvoice Number: ;. Thank you for your payment to Fort Pierce Utilities Authority. Your payment has been successfully processed and your account has INV201810178411542 been updated. Payment Amount: You will'continue to receive an email each time a bill is ready for your review. This is an easy way to access, review and pay your bills. $350.00 If you haven't already gone paperless,please consider helping the environment, reducing your clutter and supporting our green strategy by ; 'Message: t' opting to,move to paperless billing in your next billing cycle. You will Ili always have the option to print your bill directly from your computer if APPROVED 072991 you need it for your records. To go paperless, log on to your account at https://www.invoicecloud.com/fortpierceutilitiesauthority and select paperless options under My Profile. Then check the Yes, I want to go Paperless box and press update. If you have any questions regarding your account,please email us at i cs@fpua.com and include your account number, first name and last , name on the account. https:Hmaii.aol.com/webmail-std/en-us/PrintMessage 1/2 121512018 Fwd:Fort Pierce Utilities Authority Invoice#INV201810178411542 Payment Confirmation y Tu`ank you for being a valued Fort Pierce Utilities Authority customer. Please Note: To ensure delivery of account related email notifications, please add no-reply_@invoiceclozcd.net to your safe senders list. Below are the details you entered for this transaction: Account Number: 10007742-255332 Customer Name: ANNA M KNAPINSKA Address: 4971 MARGARET ANN LN City: FORT PIERCE State: FL Phone Number: 7326484142 i Email Address: thepropertycouplell@_gmail.com Payment Amount: 350.00 Powered By InvoiceClou Please consider the environment before printing this email Certain email accounts block messages that you intend to receive.To make sure that you continue to receive updates from Invoice Cloud add no-reply @ invoicecloud.net to your address book.©2010-2017, Invoice Cloud.All rights reserved. https://mail.aol.com/webmail-std/en-us/PrintMessage tit